Individual
PRIIT JAAGOSILD
Active
Individual
PRIIT JAAGOSILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01054247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351161
ANTHEM PROVIDER NUMBER
IN
01
—
11438153
CAQH NUMBER
IN
05
—
20049990
—
IN
01
—
9397183
PHCS PID NUMBER
IN
Enumeration date
03/15/2006
Last updated
01/14/2021
Update your record
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